Individual
JIGISHA MEHTA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
13490 NEW HAMPSHIRE AVE, COLESVILLE, MD 20904-1224
(301) 384-2228
Mailing address
158 PRADO LN, CLARKSBURG, MD 20871-6315
(301) 538-3302
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
18831
MD
Other
Enumeration date
11/18/2020
Last updated
11/18/2020
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